scholarly journals COVID-19 vaccine-associated subacute thyroiditis: an unusual suspect for de Quervain’s thyroiditis

2021 ◽  
Vol 14 (11) ◽  
pp. e246425
Author(s):  
Mohammad Sadiq Jeeyavudeen ◽  
Alan W Patrick ◽  
Fraser W Gibb ◽  
Anna R Dover

Subacute thyroiditis following vaccination is an uncommon presentation of thyrotoxicosis. As the world undertakes its largest immunisation campaign to date in an attempt to protect the population from COVID-19 infections, an increasing number of rare post vaccine side effects are being observed. We report a case of a middle-aged woman who presented with painful thyroid swelling following the second dose of the COVID-19 mRNA vaccine BNT162b2 (Pfizer–BioNTech) with clinical, biochemical and imaging features consistent with destructive thyrotoxicosis. Symptomatic management only was required for the self-limiting episode. Thyroiditis typically has a mild and self-limiting course and thus this observation should not deter people from vaccination, as COVID-19 infection has a far greater morbidity and mortality risk than thyroiditis.

2004 ◽  
Vol 11 (2) ◽  
pp. 25-39
Author(s):  
William Hatherell

This grainy old photograph from The Courier-Mail of 2 April 1971, under the headline ‘The Three Ancients’, shows three grey-haired men — James Devaney (identified as being 80 years old), Frank Francis (75), and Robert S. Byrnes (71) — standing around a middle-aged woman who sits at a Victorian-style desk in front of a photograph of the Queen. The caption explains this puzzling image. As an April Fool's Day gesture, the self-styled ‘three ancients’, all former presidents of the Queensland Branch of the Federation of Australian Writers (FAW(Q)), are singing a song called ‘Three Ex-P's’ (to the tune of ‘Three Blind Mice’) to the current president, Maureen Freer. The three men, we are assured, ‘have made a large contribution to the cultural activities of Queensland’.


Author(s):  
Shalini Upadhyay ◽  
Prabhat Agrawal ◽  
Manish Bansal ◽  
Anjalika Gupta

ABSTRACTRifaximin is one of the common drugs used in clinical practice in the management of traveler’s diarrhea, irritable bowel syndrome (IBS), and hepaticencephalopathy. Hyponatremia is one of the rare side effects of this drug. We hereby present the case of a middle-aged woman who was a known caseof IBS: Diarrhea predominant who developed symptoms of hyponatremia after a short duration of rifaximin treatment, no other cause of hyponatremiawas found on evaluation, so we suspect this as a rare side effect of rifaximin therapy.Keywords: Rifaximin, Hyponatremia, Irritable bowel syndrome.


2021 ◽  
Vol 12 (1) ◽  
pp. 1-26
Author(s):  
Eun Sun An

This study investigated the process leading to individuation by examining the symbolism of rocks that emerged from sandplay therapy for a middle-aged woman from the perspective of analytical psychology and alchemy. The rock symbolizes an unchangeable life force, nurturing, recovery, source of living water, grave, and place in contact with spiritual energy. The alchemical process of creating new substances using existing substances proceeds in the order of calcification, dissolution, solidification, sublimation, decay, separation, and unity. In this study, the client expressed her unconscious through the rocks in the sand tray, which corresponded to the calcification of alchemy. Afterwards, the client expressed feelings such as despair and sadness that existed deeply within her, which were linked to the process of dissolution and coagulation of alchemy. Finally, the client could proceed with the process of individuation through self-integration with her shadow by accepting the suppression and wounds of her heart that were suppressed for a long time in consciousness, which is connected with the process of sublimation, corruption, separation, and unity in alchemy. The process of individuation involves completing the true Self by integrating the Self that exists inside the individual. We can integrate these processes through a confrontational dialogue between consciousness and the unconscious through symbols.


2008 ◽  
Vol 1 (2) ◽  
pp. 200-212
Author(s):  
ELIZABETH BULLEN

This paper investigates the high-earning children's series, A Series of Unfortunate Events, in relation to the skills young people require to survive and thrive in what Ulrich Beck calls risk society. Children's textual culture has been traditionally informed by assumptions about childhood happiness and the need to reassure young readers that the world is safe. The genre is consequently vexed by adult anxiety about children's exposure to certain kinds of knowledge. This paper discusses the implications of the representation of adversity in the Lemony Snicket series via its subversions of the conventions of children's fiction and metafictional strategies. Its central claim is that the self-consciousness or self-reflexivity of A Series of Unfortunate Events} models one of the forms of reflexivity children need to be resilient in the face of adversity and to empower them to undertake the biographical project risk society requires of them.


2018 ◽  
Vol 8 (1) ◽  
pp. 49-66
Author(s):  
Monika Szuba

The essay discusses selected poems from Thomas Hardy's vast body of poetry, focusing on representations of the self and the world. Employing Maurice Merleau-Ponty's concepts such as the body-subject, wild being, flesh, and reversibility, the essay offers an analysis of Hardy's poems in the light of phenomenological philosophy. It argues that far from demonstrating ‘cosmic indifference’, Hardy's poetry offers a sympathetic vision of interrelations governing the universe. The attunement with voices of the Earth foregrounded in the poems enables the self's entanglement in the flesh of the world, a chiasmatic intertwining of beings inserted between the leaves of the world. The relation of the self with the world is established through the act of perception, mainly visual and aural, when the body becomes intertwined with the world, thus resulting in a powerful welding. Such moments of vision are brief and elusive, which enhances a sense of transitoriness, and, yet, they are also timeless as the self becomes immersed in the experience. As time is a recurrent theme in Hardy's poetry, this essay discusses it in the context of dwelling, the provisionality of which is demonstrated in the prevalent sense of temporality, marked by seasons and birdsong, which underline the rhythms of the world.


2014 ◽  
Author(s):  
Michelle Mangual ◽  
Jose Hernan-Martinez ◽  
Monica Santiago ◽  
Carlos Figueroa ◽  
Rafael Trinidad ◽  
...  

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